Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STRAP TOE 5TH LT

Facility

$468.75

Service Code	HCPCS 29550T4
Hospital Charge Code	5792210
Hospital Revenue Code	450
Min. Negotiated Rate	$70.31
Max. Negotiated Rate	$70.31
Rate for Payer: Qualcare PPO/HMO/WC	$70.31

STRAP ZIM ANKLE 1164-001-10

Facility

$32.85

Hospital Charge Code	270620630
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$16.43
Rate for Payer: Aetna Commercial	$12.48
Rate for Payer: Aetna Medicare Advantage	$9.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.38
Rate for Payer: Cigna Commercial	$16.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.86
Rate for Payer: Oxford Commercial	$6.57
Rate for Payer: Qualcare PPO/HMO/WC	$4.93
Rate for Payer: UnitedHealthcare Commercial	$6.57
Rate for Payer: UnitedHealthcare Community & State	$0.79
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

STRAP ZIM ANKLE 1164-001-10

Facility

$32.85

Hospital Charge Code	270620630
Hospital Revenue Code	272
Min. Negotiated Rate	$4.93
Max. Negotiated Rate	$4.93
Rate for Payer: Qualcare PPO/HMO/WC	$4.93

STRATIFT JCV AB/INHIBITION ASY

Facility

$238.80

Service Code	HCPCS 86711
Hospital Charge Code	38479741
Hospital Revenue Code	306
Min. Negotiated Rate	$35.82
Max. Negotiated Rate	$35.82
Rate for Payer: Qualcare PPO/HMO/WC	$35.82

STRATIFT JCV AB/INHIBITION ASY

Facility

$238.80

Service Code	HCPCS 86711
Hospital Charge Code	38479741
Hospital Revenue Code	306
Min. Negotiated Rate	$6.33
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$45.94
Rate for Payer: Aetna Medicare Advantage	$54.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.97
Rate for Payer: Cigna Commercial	$119.40
Rate for Payer: Cigna Medicare Advantage	$16.89
Rate for Payer: Clover Medicare Advantage	$16.05
Rate for Payer: EmblemHealth Commercial	$50.67
Rate for Payer: Humana Medicare Advantage	$17.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.82
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$13.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.89
Rate for Payer: Wellcare Medicare Advantage	$16.89
Rate for Payer: Wellpoint Medicaid Managed Care	$6.33

STRATIFY JCV AB W REFLEX INHIB

Facility

$390.00

Service Code	HCPCS 86711
Hospital Charge Code	401086711
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

STRATIFY JCV AB W REFLEX INHIB

Facility

$390.00

Service Code	HCPCS 86711
Hospital Charge Code	401086711
Hospital Revenue Code	301
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$45.94
Rate for Payer: Aetna Medicare Advantage	$54.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.97
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$16.89
Rate for Payer: Clover Medicare Advantage	$16.05
Rate for Payer: EmblemHealth Commercial	$50.67
Rate for Payer: Humana Medicare Advantage	$17.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$13.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.89
Rate for Payer: Wellcare Medicare Advantage	$16.89
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

STRATOFUSE 5CC

Facility

$3,187.50

Service Code	HCPCS C1713
Hospital Charge Code	270696837
Hospital Revenue Code	278
Min. Negotiated Rate	$76.82
Max. Negotiated Rate	$1,593.75
Rate for Payer: Aetna Commercial	$1,211.25
Rate for Payer: Aetna Medicare Advantage	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$812.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$812.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$812.81
Rate for Payer: Cigna Commercial	$1,593.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$771.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$701.25
Rate for Payer: Qualcare PPO/HMO/WC	$478.12
Rate for Payer: UnitedHealthcare Community & State	$76.82
Rate for Payer: Wellpoint Medicaid Managed Care	$84.47

STRATOFUSE 5CC

Facility

$3,187.50

Service Code	HCPCS C1713
Hospital Charge Code	270696837
Hospital Revenue Code	278
Min. Negotiated Rate	$478.12
Max. Negotiated Rate	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$637.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$771.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$701.25
Rate for Payer: Qualcare PPO/HMO/WC	$478.12

STRATOFUSE V OSTEO MATRIX 10CC

Facility

$39,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270695202
Hospital Revenue Code	278
Min. Negotiated Rate	$5,921.25
Max. Negotiated Rate	$9,552.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,552.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,684.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,921.25

STRATOFUSE V OSTEO MATRIX 10CC

Facility

$39,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270695202
Hospital Revenue Code	278
Min. Negotiated Rate	$951.35
Max. Negotiated Rate	$19,737.50
Rate for Payer: Aetna Commercial	$15,000.50
Rate for Payer: Aetna Medicare Advantage	$11,842.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,066.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,066.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,895.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,066.12
Rate for Payer: Cigna Commercial	$19,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,552.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,684.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,921.25
Rate for Payer: UnitedHealthcare Community & State	$951.35
Rate for Payer: Wellpoint Medicaid Managed Care	$1,046.09

STRATOFUSE VOSTEO MATRIX 5CC

Facility

$20,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696318
Hospital Revenue Code	278
Min. Negotiated Rate	$500.07
Max. Negotiated Rate	$10,375.00
Rate for Payer: Aetna Commercial	$7,885.00
Rate for Payer: Aetna Medicare Advantage	$6,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,291.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,291.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,291.25
Rate for Payer: Cigna Commercial	$10,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,021.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,565.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,112.50
Rate for Payer: UnitedHealthcare Community & State	$500.07
Rate for Payer: Wellpoint Medicaid Managed Care	$549.88

STRATOFUSE VOSTEO MATRIX 5CC

Facility

$20,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696318
Hospital Revenue Code	278
Min. Negotiated Rate	$3,112.50
Max. Negotiated Rate	$5,021.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,021.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,565.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,112.50

STRATOV-OSTEOVIABLEMATRIX5CC

Facility

$21,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694685
Hospital Revenue Code	278
Min. Negotiated Rate	$3,187.50
Max. Negotiated Rate	$5,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,142.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,675.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,187.50

STRATOV-OSTEOVIABLEMATRIX5CC

Facility

$21,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694685
Hospital Revenue Code	278
Min. Negotiated Rate	$512.12
Max. Negotiated Rate	$10,625.00
Rate for Payer: Aetna Commercial	$8,075.00
Rate for Payer: Aetna Medicare Advantage	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,418.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,418.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,418.75
Rate for Payer: Cigna Commercial	$10,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,142.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,675.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,187.50
Rate for Payer: UnitedHealthcare Community & State	$512.12
Rate for Payer: Wellpoint Medicaid Managed Care	$563.12

STRATTERA 60MG CAP

Facility

$81.14

Service Code	NDC 2323930
Hospital Charge Code	606361021
Hospital Revenue Code	250
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$40.57
Rate for Payer: Aetna Commercial	$30.83
Rate for Payer: Aetna Medicare Advantage	$24.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.69
Rate for Payer: Cigna Commercial	$40.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.34
Rate for Payer: Oxford Commercial	$16.23
Rate for Payer: Qualcare PPO/HMO/WC	$12.17
Rate for Payer: UnitedHealthcare Commercial	$16.23
Rate for Payer: UnitedHealthcare Community & State	$1.96
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

STRATTERA 60MG CAP

Facility

$81.14

Service Code	NDC 2323930
Hospital Charge Code	606361021
Hospital Revenue Code	250
Min. Negotiated Rate	$12.17
Max. Negotiated Rate	$12.17
Rate for Payer: Qualcare PPO/HMO/WC	$12.17

STRATUM INSTR KIT 1ST MPJ

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270694755
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$600.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$545.60
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

STRATUM INSTR KIT 1ST MPJ

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270694755
Hospital Revenue Code	278
Min. Negotiated Rate	$59.77
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$942.40
Rate for Payer: Aetna Medicare Advantage	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.40
Rate for Payer: Cigna Commercial	$1,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$545.60
Rate for Payer: Qualcare PPO/HMO/WC	$372.00
Rate for Payer: UnitedHealthcare Community & State	$59.77
Rate for Payer: Wellpoint Medicaid Managed Care	$65.72

STRATUM STAND INST KIT RS

Facility

$2,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270692247
Hospital Revenue Code	278
Min. Negotiated Rate	$327.00
Max. Negotiated Rate	$527.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$479.60
Rate for Payer: Qualcare PPO/HMO/WC	$327.00

STRATUM STAND INST KIT RS

Facility

$2,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270692247
Hospital Revenue Code	278
Min. Negotiated Rate	$52.54
Max. Negotiated Rate	$1,090.00
Rate for Payer: Aetna Commercial	$828.40
Rate for Payer: Aetna Medicare Advantage	$654.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$555.90
Rate for Payer: Cigna Commercial	$1,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$479.60
Rate for Payer: Qualcare PPO/HMO/WC	$327.00
Rate for Payer: UnitedHealthcare Community & State	$52.54
Rate for Payer: Wellpoint Medicaid Managed Care	$57.77

STR DIG NRV HND/FT,EA ADDTL NR

Facility

$34,014.10

Service Code	HCPCS 64832
Hospital Charge Code	16000657
Hospital Revenue Code	360
Min. Negotiated Rate	$5,102.11
Max. Negotiated Rate	$5,102.11
Rate for Payer: Qualcare PPO/HMO/WC	$5,102.11

STR DIG NRV HND/FT,EA ADDTL NR

Facility

$34,014.10

Service Code	HCPCS 64832
Hospital Charge Code	16000657
Hospital Revenue Code	360
Min. Negotiated Rate	$819.74
Max. Negotiated Rate	$17,007.05
Rate for Payer: Aetna Commercial	$12,925.36
Rate for Payer: Aetna Medicare Advantage	$10,204.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,673.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,673.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,673.60
Rate for Payer: Cigna Commercial	$17,007.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,204.23
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,102.11
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$819.74
Rate for Payer: Wellpoint Medicaid Managed Care	$901.37

STRECH 8MMX70CM

Facility

$4,130.00

Hospital Charge Code	270658077
Hospital Revenue Code	278
Min. Negotiated Rate	$619.50
Max. Negotiated Rate	$999.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$826.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$999.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$908.60
Rate for Payer: Qualcare PPO/HMO/WC	$619.50

STRECH 8MMX70CM

Facility

$4,130.00

Hospital Charge Code	270658077
Hospital Revenue Code	278
Min. Negotiated Rate	$99.53
Max. Negotiated Rate	$2,065.00
Rate for Payer: Aetna Commercial	$1,569.40
Rate for Payer: Aetna Medicare Advantage	$1,239.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,053.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,053.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$826.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,053.15
Rate for Payer: Cigna Commercial	$2,065.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$999.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$908.60
Rate for Payer: Qualcare PPO/HMO/WC	$619.50
Rate for Payer: UnitedHealthcare Community & State	$99.53
Rate for Payer: Wellpoint Medicaid Managed Care	$109.44

Know your out-of-pocket cost for care.

All Charges